OrganizationActive
Lydia Home Association
NPI 1235197583 · Emotionally Disturbed Childrens' Residential Treatment Facility · Chicago, IL
Provider details
- NPI number
- 1235197583
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Anderson, Executive Director(773) 736-1447
Specialties & taxonomies
Residential Treatment Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
4300 W Irving Park Rd
Chicago, IL 60641-2825
Phone: (773) 736-1447
Fax: (773) 736-5014
Approximate (ZIP-level) locationGet directions
Mailing address
4300 W Irving Park Rd
Chicago, IL 60641-2825
Additional practice locations (1)
- 1101 Washington StEvanston, IL 60202-1619Phone: (847) 424-2450
Registry dates
- Enumerated
- 2006-05-03
- Last updated
- 2022-06-24
- Certified
- 2022-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.